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Membership Form

Please fill in the form shown below to become a member. All fields are mandatory except where not applicable.

  

Application date  
Do you know any ILGOM current member in your area?
Yes No
How did you hear about ILGOM?
What is your Full Name as on you country's birth certificate/Passport
     
  First name Last name
     
Your E-mail address?
House address
Postcode
Town & Country in which you live presently?  
Nationality  
Telephone number  
Your Marital Status?






If Married or engaged, what are your spouse/partner's name, contact address & telephone numbers.  
Number of children?  
What is the current position in the ministry?  
Are you a:




Do you have a congregation? If yes, please, give a history of your conversion and how you started the ministry?
Further information